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MANA PSYCHIATRY LLC
NPI 1558196824
Nurse Practitioner - Psychiatric/Mental Health in Glendale, AZ

Active since September 05, 2024
18001 N 79TH AVE STE C61, GLENDALE, AZ 85308(623) 224-2403(623) 267-0591 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2025, Sep 5, 2024 (2 updates tracked since 2024).

About Mana Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANA PSYCHIATRY LLC (NPI 1558196824), doing business as Mana Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Glendale, Arizona and active in the NPI registry since September 2024. The organization lists Rey Jericoh Manalese, Pmhnp Fnp, as its authorized official.

NPPES Registry Identity

NPI1558196824
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMANA PSYCHIATRY LLC
Location Address18001 N 79TH AVE STE C61Glendale, AZ 85308-6038
Mailing Address9627 W Potter DrPeoria, AZ 85382-5157 · (623) 313-6573
Phone(623) 224-2403
Fax(623) 267-0591
Organization SubpartNo
Authorized OfficialRey Jericoh ManalesePmhnp Fnp · (623) 313-6573
Enumeration DateSeptember 5, 2024
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1558196824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
18001 N 79TH AVE STE C61, Glendale, AZ 85308
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Other Names 1

Doing Business AsMana Psychiatry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mana Psychiatry LLC's NPI number?

The NPI number for Mana Psychiatry LLC is 1558196824. It was assigned to this organization in the NPPES registry on September 5, 2024. The provider is doing business as Mana Psychiatry.

Where is Mana Psychiatry LLC located?

Mana Psychiatry LLC is located at 18001 N 79th Ave Ste C61, Glendale, AZ 85308. The listed phone number is (623) 224-2403.

What is Mana Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mana Psychiatry LLC was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.